ANDI MARIE RIVERS (NPI# 1568016335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568016335 |
| Entity Type | Individual |
| Full Name | ANDI MARIE RIVERS |
| Credential | FNP-BC |
| Practice Address |
1850 Gateway Dr Sycamore IL 60178-3192 |
| Practice Telephone | 8152173252 |
| Practice Fax Number | 8157585348 |
| Mailing Telephone | 8152173252 |
| Mailing Fax Number | 8157585348 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209019731 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1850 GATEWAY DR |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-3192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023018322 | Asra F Khan | Family Medicine | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2005-07-28 |
| 1528601127 | Michelle L Gosnell | Nurse Practitioner | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2019-10-26 |
| 1457815938 | Jessica Moede | Nurse Practitioner | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2019-01-29 |
| 1265903447 | Kimberly J Aldis | Registered Nurse | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2018-12-16 |
| 1114401833 | Jennifer Tarvestad | Nurse Practitioner | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2018-09-18 |
| 1518456003 | Keelin Willits | Urology | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2018-05-09 |
| 1255853859 | Ricardo Manuel De Oliveira Soares | Urology | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2017-07-14 |
| 1174067227 | Jamie Gibson | Nurse Practitioner | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2016-12-08 |
| 1679933139 | Kishwaukee Physician Group, Inc. | Durable Medical Equipment & Medical Supplies | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2016-02-26 |
| 1265897755 | Andrew James Hornung | Nurse Practitioner | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2015-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644297 | Lauren Ashley Matchett | Nurse Practitioner | 2550 Hauser Ross Dr Ste 350, Sycamore, IL 60178-3181 | 2019-05-10 |
| 1952891863 | Chelsea J Sword | Nurse Practitioner | 2540 Hauser Ross Dr Ste 275, Sycamore, IL 60178-3178 | 2018-05-16 |
| 1366932139 | Megan Jean Martin | Nurse Practitioner | 2560 Hauser Ross Dr Ste 450, Sycamore, IL 60178-3185 | 2018-05-16 |
| 1073836383 | Sycamore Health Care, LLC | Nurse Practitioner | 7205 Buford's Bridge Hwy., Sycamore, SC 29846 | 2010-03-02 |
| 1922606201 | Ryan James Taccona | Nurse Practitioner | 2127 Midlands Ct Unit 203, Sycamore, IL 60178-3173 | 2020-10-09 |
| 1407496268 | Kristen Valerie Rogers | Nurse Practitioner | 2540 Hauser Ross Dr Ste 275, Sycamore, IL 60178-3178 | 2020-01-09 |
| 1699234195 | Heather A Marvin | Nurse Practitioner | 954 W State St, Sycamore, IL 60178-1335 | 2019-03-14 |
| 1417453960 | Lynda M Flowers | Nurse Practitioner | 920 W Prairie Dr, Sycamore, IL 60178-3123 | 2018-04-03 |
| 1487197588 | Teah Brandt | Nurse Practitioner | 954 W State St, Sycamore, IL 60178-1335 | 2016-11-22 |
| 1629439815 | Julie Caley | Nurse Practitioner | 2560 Hauser Ross Dr, Sycamore, IL 60178-3150 | 2016-03-15 |
| Find all providers in SYCAMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.